Fort Wayne Dental Group, Llc is a Dental Clinic in Fort Wayne, Indiana. It is located at 7202 Engle Rd, Fort Wayne, IN and its contact number is 260-432-3459. The authorized person for Fort Wayne Dental Group, Llc is Dr. Brent E Mutton
who is Owner of the clinic and their contact number is 260-432-3459. The primary license number for Fort Wayne Dental Group, Llc is 12009199 (Pediatric Dentistry) in Indiana. Fort Wayne Dental Group, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Fort Wayne Dental Group, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fort Wayne Dental Group, Llc
Specialization:
General Practice Dentistry
Clinic Address:
7202 Engle Rd, Fort Wayne, Indiana, 46804-2222
Phone:
260-432-3459
Fax:
260-436-4757
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Brent E Mutton
Position:
Owner
Contact Number:
260-432-3459
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fort Wayne Dental Group, Llc clinic are as mentioned below.
NPI Number:
1922167188
NPI Enumeration Date:
06 Dec, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fort Wayne Dental Group, Llc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
12009199
Indiana
Primary
General Practice
12008127
Indiana
Secondary
General Practice
12010298A
Indiana
Secondary
Pediatric Dentistry
12009199
Indiana
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fort Wayne Dental Group, Llc 7202 Engle Rd, Fort Wayne, Indiana
Zip:
46804-2222
Phone Number:
260-432-3459
Fax Number:
260-436-4757
Patients can reach Fort Wayne Dental Group, Llc at 7202 Engle Rd, Fort Wayne, Indiana or can call to book an appointment on 260-432-3459. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.